Individual
MICHELLE LEVINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
5480 WISCONSIN AVE, CHEVY CHASE, MD 20815-3530
(617) 460-9718
Mailing address
3413 TURNER LN, CHEVY CHASE, MD 20815-3215
(617) 460-9718
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
06361
MD
Other
Enumeration date
04/22/2020
Last updated
04/22/2020
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